Amazing Grace Transportation, LLC

Organization Active NPI Non-emergency Medical Transport (VAN) · Schenectady, NY

NPI 1699124651 · NPPES record last updated Jun 9, 2016

Key facts

NPI
1699124651
Entity type
Organization (NPI type 2)
Primary specialty
Non-emergency Medical Transport (VAN) 343900000X
License
38057 (NY)
Legal business name
AMAZING GRACE TRANSPORTATION, LLC
Practice address
1575 State St
Schenectady, NY 12304-1521
Phone
(518) 250-4664
Fax
(518) 250-4665
NPI assigned
Jun 9, 2016
Organization subpart
No

Authorized official

Name
Agustus Amasha
Title
Admin/Owner
Phone
(518) 250-4664

National Provider Directory

Locations

1575 State St
Schenectady, NY 12304
Phone (518) 250-4664

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 38057 NY Yes

Addresses

Primary practice location

1575 State St
Schenectady, NY 12304-1521

Mailing address

1575 State St
Schenectady, NY 12304-1521
Phone (518) 250-4664

Other identifiers

IdentifierTypeStateIssuer
03280926MedicaidNY

Other providers in Schenectady, NY

All providers in Schenectady, NY · Non-emergency Medical Transport (VAN) in New York

Sources for this page

Verify at the official NPI Registry.